A Risk Sciences International Case Study

Contraceptive recall review

Alysena pill pack

Client: Health Canada

Listing of the client in no way affirms the client's support, sponsorship, or validation in any form of Risk Sciences International or the RSI staff member(s) who conducted this project during their stay with RSI or prior to joining the company. This case study is displayed for informative purposes only to demonstrate the capacity of RSI staff members. This case study reveals no proprietary information or information deemed sensitive.

Project description:

Contraceptive recall review

Health Canada requested an external review following significant public criticism of its handling of a pharmaceutical recall. The case involved a contraceptive drug that was withdrawn due to packaging errors, and the department faced questions about whether it had acted swiftly and transparently enough. The client sought an impartial evaluation to understand the sequence of events, the adequacy of internal processes, and the way the recall had been perceived by the public and media.

The evaluation covered multiple layers. RSI reviewed the regulatory and procedural basis for recall decision-making, as outlined in the governing legislation, regulations, and departmental policies. Key officials involved in the recall were interviewed to document how decisions had been made in practice. A detailed chronology of the recall process was assembled, capturing both internal actions and external communications, to allow for a step-by-step evaluation. Finally, media reporting and public reactions were analyzed to highlight how the recall was framed publicly and where concerns were most acute.

Health Canada asked for actionable recommendations to strengthen its recall processes. RSI delivered a set of proposals under four themes: improve timeliness in responding to company notifications; clarify and communicate roles and responsibilities for recalls; integrate social concern into future recall decisions; and update legislation to clarify drug company notification requirements. The overarching purpose was to provide Health Canada with a roadmap for more effective, transparent, and publicly trusted recall management.

Experts related to this case study

Greg Paoli

CEO, Principal Risk Scientist

Greg Paoli is the CEO and Principal Risk Scientist at Risk Sciences International (RSI), a firm he co-founded in 2006 following the integration of his earlier consultancy, Decisionalysis Risk Consultants, with the consulting activities of the McLaughlin Centre for Population...
Read More about Greg Paoli

Anne Wiles

Senior Analyst

Dr. Anne Wiles joined Risk Sciences International (RSI) in 2008, where she currently serves as a Senior Analyst specializing in risk communication, perception, and governance. With a distinctive blend of expertise in language, regulation, and the use of science in...
Read More about Anne Wiles

More RSI Case Studies

RSI presents a very small selection of case studies to highlight some of its key work.

Update of WHO Guidance on Food Defense

To support international efforts in mitigating deliberate threats to the food system, the World Health Organization commissioned an update to its earlier guidance titled Terrorist Threats to Food. The revision aimed to broaden the original scope by addressing not only...
Read More about Update of WHO Guidance on Food Defense

Wildfire and residential smoke risk communication

Government authorities faced recurring challenges in communicating health risks from smoke caused by both wildfires and residential burning. While these events were becoming more frequent and more severe, the public health messages often failed to resonate with affected communities or...
Read More about Wildfire and residential smoke risk communication

Expansion of the Stochastic Health Canada Quantitative Microbial Risk Assessment Tool

Health Canada sought to enhance its Quantitative Microbial Risk Assessment (QMRA) tool, originally developed over 15 years ago for stakeholders responsible for drinking water systems. With advancements in probabilistic modeling and microbial risk assessment, the client required updates to reflect...
Read More about Expansion of the Stochastic Health Canada Quantitative Microbial Risk Assessment Tool

Validation and Optimization of the Computational Tool for the Microbial Risk Assessment Framework (MRAF)

To support more consistent and quantitative assessments of new micro-organisms under the Canadian Environmental Protection Act, Health Canada's New Substances Program (NSP) sought to refine the tools and processes within its Microbial Risk Assessment Framework (MRAF). The NSP had previously...
Read More about Validation and Optimization of the Computational Tool for the Microbial Risk Assessment Framework (MRAF)

Risk-based decision making framework

The Alliance of Blood Operators (ABO) sought to move its members toward a consistent, transparent approach to risk-based decision-making. Having worked through the development of a framework, the organization now wanted formal adoption, external validation, and practical application to real-world...
Read More about Risk-based decision making framework